REGISTRATION FORM - Beginner Jackpot
Five Forks Stables - Cartersville, GA
Saturday, July 13th, 2019
9:00 am – 5:00 pm
Rider's Name *
Your answer
DOB (if under 18)
Parent/Guardian Name (if under 18)
Your answer
Horse's Name
Your answer
ID# (if CHA member)
Your answer
or Club Name (if not a CHA member)
Your answer
Address, City, ST, Zip *
Your answer
Phone # *
Your answer
Email Address *
Your answer
Emergency Contact & Phone *
Your answer
Class / Arena Fees
Competition classes are $10 each. REMINDER: To be eligible for the jackpot $$$, rider must sign up for all three classes in the SAME division (gait).
Competition *
Not Competing (see exhibitions below)
Triple Triangle
Single Barrel
Pin the Tail on the Donkey
Exhibition classes are $5 each. NOTE: You cannot exhibition in the same gait(s) you are competing in. This is an opportunity to try something else without the "pressure".
Triple Triangle
Single Barrel
Pin the Tail on the Donkey
Arena *
Additional Fees / Options
Riders may also choose from the following options (for an additional charge) below:
Horse Rental
Extremely Limited - First Come, First Serve
Stall for the Day
Primitive Campsite
Please select the nights needed.
If you cannot pay the above fees to PayPal, please contact to make other arrangements.
Completion of form
By clicking "Submit" below, I hereby agree to abide by and enforce the rules and regulations of the Chattahoochee Horse Archers, Inc.. By participating in a CHA event, I am agreeing that images of my horse, equipment and myself may be photographed, videoed or recorded in any way and re-used without my permission and without compensation.
This is a one-day competition where the courses are unconventional & meant to be fun/low cost, while still testing your skill. Super beginner friendly, as competitors can go at their own pace (by Division). There is no pressure to win, although, there is a possibility for payback & prizes (including ribbons for 1st thru 3rd Place in each Division for each Class).

1. Jackpots are awarded by Division: To be eligible for a Jackpot, Rider must Compete with the same horse in all 3 Classes at the same Division level. Jackpots for overall points (50/40/30 % Payout for Trot/Walk/Lead-Line, with a 50/40/30 % Split for 1st/2nd/3rd)
2. Rider may Exhibition the same horse in any other Division (other than the one being competed in) in each Class and Rider may Exhibition a second horse, at any Division in any Class.
3. Rider does NOT need to participate in all three Classes; Rider can still win a singular Class in their Division (they are just not eligible for a jackpot prize).
4. Definitions: Competing = to count towards Division points; and Exhibition = just run for fun or to test your ability/gain experience.
5. Only one arrow will be allowed per target during the competition (for safety reasons).
6. Horses may not stop while the rider reloads, but MUST continue moving in a forward direction. It's ok if horse breaks to a lower gait, but the rider must resume their Divisional gait to shoot. If the horse has already passed the linear parallel of a target & starts to circle, the rider may not shoot at that target.
7. Arrows MAY NOT be drawn from a boot or pant leg, they MUST be drawn from either a quiver or the bow hand.
8. CHA reserves the right to remove a horse from competition if they feel that it is unsafe, unsound, or unfit (in any way) to proceed.
9. Minors (under 18) MUST wear a helmet while riding.

General Schedule:
9:00 Arrival; Coggins check 9:15 Warm ups in arena
9:45 Safety Briefing 10:00 am – 11:30 pm “Triple Triangle” Class
12:00 pm – 1:30 pm “Single Barrel” Class 2:00 pm – 3:30 pm “Pin the Tail on the Donkey” Class
4:30 pm – 5:00 pm Prizes, Ribbons & Jackpots are awarded
(If a Class finishes earlier & we have all participants present for the next Class, we will proceed to the next Class.)
(Course descriptions can be found at: )

Pre-registration & Fees are due by Thursday, July 11th to reserve your spot (& refundable in the unlikely event that CHA cancels.) There is a $5.00 Registration Fee for entries after that date (but welcome up to the start of competition).
Standard Fees: Optional Fees:
$10 / Class for Competition $40 / Horse Rental (or $25, if shared in lead/walk/trot only)
$5 / Class for Exhibition $20 / Stall for the day (owner asked to pick stall when done)
$15 Arena Fee FREE / Primitive Camping

Proof of current NEGATIVE COGGINS is required upon arrival of all horses, no exceptions. If you are willing to share your horse, please let us know (as there are only TWO horses available to rent at this location).

There is NO COST for auditors/spectators. We would love it if a bunch of people took pictures & videos for us to share! (All participants, riders, auditors, and spectators MUST sign a LIABILITY WAIVER).

Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service